Supracricoid laryngectomy with cricohyoidoepiglottopexy for advanced glottic cancer

Background. Supracricoid laryngectomy with cri‐cohyoidoepiglottopexy (CHEP) is a conservative surgical procedure indicated in selected cases of advanced glottic carcinoma. Methods. This study is a review of our experience with 43 patients with T3/T4 glottic squamous cell carcinoma who underwent CHEP...

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Bibliographic Details
Published in:Head & neck 2006-06, Vol.28 (6), p.481-486
Main Authors: Lima, Roberto A., Freitas, Emilson Q., Dias, Fernando L., Barbosa, Mauro M., Kligerman, Jacob, Soares, Jose R., Santos, Izabella C., Rocha, Ricardo M., Cernea, Claudio R.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arytenoid Cartilage - surgery
Biological and medical sciences
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - surgery
CHEP
Cricoid Cartilage - surgery
Disease-Free Survival
Epiglottis - surgery
Female
Follow-Up Studies
Glottis - pathology
Glottis - surgery
Humans
laryngeal cancer
Laryngeal Neoplasms - mortality
Laryngeal Neoplasms - surgery
Laryngectomy - adverse effects
Laryngectomy - methods
Laryngostenosis - etiology
Male
Medical sciences
Middle Aged
Neck Dissection
Neoplasm Recurrence, Local
Otorhinolaryngology. Stomatology
Postoperative Complications - etiology
Radiotherapy, Adjuvant
Retrospective Studies
supracricoid laryngectomy
Survival Rate
Treatment Outcome
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:Background. Supracricoid laryngectomy with cri‐cohyoidoepiglottopexy (CHEP) is a conservative surgical procedure indicated in selected cases of advanced glottic carcinoma. Methods. This study is a review of our experience with 43 patients with T3/T4 glottic squamous cell carcinoma who underwent CHEP in our institution. All but two patients underwent selective neck dissections. All patients were staged on the basis of the 2002 TNM classification. Rates of recurrence and death were estimated by the Kaplan–Meier method. Results. The 5‐year disease‐specific survival and 5‐year relapse‐free survival rates were 78% and 83%, respectively. Neck metastases were found in three patients. Cartilage invasion occurred in 11 cases. The average length of hospital stay was 5.7 days. The mean time of enteral feeding tube was 33.8 days, and the mean time for tracheotomy was 29.6 days. Overall, normal swallowing was achieved in 74.4% of patients. Eleven patients had mild and major complications. Laryngeal stenosis emerged as the most frequent major complication. Three patients (6.9%) had local recurrences. Two patients (4.6%) had neck metastases. Conclusions. On the basis of this study, over a 7‐year period with 43 patients with advanced glottic cancer, a successful on‐cologic outcome is confirmed. © 2006 Wiley Periodicals, Inc. Head Neck 28: 481–486, 2006
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.20361